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SAN.JGAOUIN Environmental Head Department <br /> —_-C O U t +Y----._ <br /> rN m i am providing the foltowing oold isfnperabarie cw*Df for the 0old tw;ding of pW%eatkWy harardom foods ,below <br /> 45°F Cif food is used the folloWng day.maintain below 41'F temperature): <br /> Ice chests ❑Refrigerator <br /> I"d igerated truck ice bath and tugs <br /> ®Other(specify) <br /> N n 11. I ant proving the following items within my booth ft the sardtary cleaning of foW prepare im utensil <br /> ❑Three compartment sink. <br /> OR <br /> Three deep tubs(basins 6-48 inc:hes minirru rn). one for soapy yffltar, one for dosing and one for a bteach <br /> solution(one,tatxlespaon of bleach per galon of►ya1<+er-). <br /> [ Deten�entr bieaz h,and wtpmg dofhs(davkrq trams). <br /> E]Tub to stare wotg dwis in bleach solution_ <br /> 12- 1 am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br /> booth: <br /> Water supply dispenser with warn water at a mkfturn of 100'F(i a.5-20 gaffon container wth spigot)_ <br /> ®.One separate tub(bucket or basin)for the collection of rinsefwastewater. <br /> Ll Paper towels and ammio-styte soap container. <br /> 13. Names of responsible persons to be went in booth during all hours of operation: <br /> h�rL�-G tie. <br /> W- AD food vendor booft are subject to acpeobom Mase make a copy of this appkabm Ai <br /> pneparat m fior items event. A copy of ttus dvxkM must be in 'Uha booth at aU tours of <br /> and qxroligm Relive adgkiad tD k§#Ng ux w& #zm weals odor so <br /> iris e"nt. <br /> 14. Completed by: 3 •-, 10' l .^ SA 3 h ar -?'-1 - b <br /> Sigaabirse Title fate <br /> 7-V r� <br /> Health rPennit <br /> �6sp�.str � � P�►�qf Towets <br /> Q <br /> t�adt 6naler kr <br /> Fra}me 5tsar � 6k�ctf A ��9�Js4Ws <br /> ��' j Boom(r1t a be on <br /> t C�Ask <br /> i ornT- <br /> '�' <br /> Fi=m Taft <br /> A C.In <br /> 1868 E. Hazeiton Avenue I Stockton, Califamia 95205 ; T 209 468-3420 F 209 464-0138 ] WV+)At.sjg©v-orgiet'kd <br /> END 1"2 Page s of 1 i TEW EVENT APP <br /> v®nsfrs <br />